ArticleThe Laryngoscope2013
Success of endoscopic pharyngoesophageal dilation after head and neck cancer treatment.
Article in The Laryngoscope, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- The impact of surgeon specialty and technique on outcomes after esophageal dilation: a systematic review.Esophagus : official journal of the Japan Esophageal Society · 2025Pooled it
- Guideline
- Predictive Factors for Esophageal Stricture Following Definitive Chemoradiotherapy in Esophageal Carcinoma.Journal of gastrointestinal cancer · 2025Article
- Safety of a Novel Upper Esophageal Sphincter Balloon Dilator.The Laryngoscope · 2025Article
- Swallowing improvement surgeries.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Review
- Esophageal stenosis in head and neck cancer patients: Imaging's accuracy to predict dilation response.Laryngoscope investigative otolaryngology · 2021Article
- Update on the management of the gastrointestinal effects of radiation.World journal of gastrointestinal oncology · 2021Review
- Radiotherapy side effects: integrating a survivorship clinical lens to better serve patients.Current oncology (Toronto, Ont.) · 2020Review
- Endoscopic Dilation of Refractory Postlaryngectomy Strictures: A Case Series and Literature Review.Gastroenterology research and practice · 2019Article
- Endoscopic Dilation of Pharyngoesophageal Strictures: There Are More Dimensions than a Diameter.GE Portuguese journal of gastroenterology · 2018Article
- Benign Pharyngoesophageal Strictures: Increasingly Encountered and Still a Challenge.GE Portuguese journal of gastroenterology · 2018Article
- Endoscopic Approach to Reopening a Completely Obstructed Esophagus.Gastroenterology & hepatology · 2015Article
- Outcomes of serial dilation for high-grade radiation-related esophageal strictures in head and neck cancer patients.The Laryngoscope · 2015Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectives/hypothesisTo assess clinical success and safety of endoscopic pharyngoesophageal dilation after chemoradiation or radiation for head and neck cancer and to identify variables associated with dilation failure. STUDY
designCase series with chart review.
methodsBetween 2000 and 2008, a total of 111 patients treated with chemoradiation or radiation for head and neck cancer with subsequent pharyngoesophageal stenosis requiring endoscopic dilation were identified. Patients were evaluated for endoscopic dilation technique, severity of stenosis, technical and clinical success, and intra- and postoperative complications. The Diet/GT score (range, 1-5) was utilized to measure swallow success. Variables associated with dilation failure were analyzed by univariate and multivariate logistic regression.
resultsThere were 271 dilations analyzed, with 42 combined antegrade retrograde dilations, 208 dilations over a guidewire, and 21 dilations without guidewire. Intraoperative patency and successful dilation of the stenotic segment was achieved in 95% of patients. A Diet/GT score of 5 (gastrostomy tube removed and soft/regular diet) was attained in 84 of 111 (76%) patients. Safety analysis showed complications occurred in 9% of all dilations. Perforations were noted in 4% of all procedures, with only two esophageal perforations requiring significant intervention. Multiple dilations were associated with an increased risk for perforations. Further logistic regression analyses revealed that the number of dilations was indicating a poor outcome and low Diet/GT score.
conclusionsPharyngoesophageal stenosis, occurring after chemoradiation and radiation treatment, can be successfully and safely treated with endoscopic dilation techniques. Patients with restenosis, requiring multiple dilations, have a higher risk of persistent dysphagia.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.